Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Elissa Forman, LICSW

Individual provider Clinical Social Worker · NPI 1578532438

MS. Elissa Forman, LICSW is a Clinical Social Worker in Florence, Massachusetts. Qualified in 1996, 30 years ago. Practices with Valley Medical Group PC, a 106-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
30
Licensed in
MA
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

70 Main St
Florence, MA 01062-1466
Phone: (413) 586-8400
Fax: (866) 644-0872
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 31 Hall Dr, Amherst, MA 01002 — (413) 256-8561
  • 238 Northampton St, Easthampton, MA 01027 — (413) 529-9300
  • 329 Conway St, Greenfield, MA 01301 — (413) 774-6301

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1031672 (MA)

Record details

NPI number1578532438
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 14, 2006
Last updated in NPPESDecember 11, 2023
Certification dateDecember 11, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Valley Medical Group Pc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Florence